| NPI | 1528503307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 260916) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60888116) | |
| 101YM0800X Counselor, Mental Health (Licence: WA MG60753924) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2021-02-05 |