| NPI | 1679900393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60165344) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4925) |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2019-02-21 |