| NPI | 1639600869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60666645) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C1440) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2018-03-17 |