| NPI | 1548698921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60777893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11997) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2018-10-11 |