| NPI | 1649627035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MG 60628783) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60628776) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-05-16 |