| NPI | 1679959522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7639) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60799069) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60673276) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2020-09-16 |