| NPI | 1467981050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60864281) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-6745) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60864281) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2021-03-03 |