| NPI | 1699814855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00051664) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-01-24 |