| NPI | 1639556962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR THW000002697) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60487815) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2018-04-13 |