| NPI | 1467744110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61202756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 1063528560) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-10-21 |