| NPI | 1508273707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60942197) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC007627) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2020-09-15 |