| NPI | 1477094290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60965630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60727290) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-12-06 |