| NPI | 1518028323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60040720) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LCPC-7824) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2022-08-06 |