| NPI | 1770880452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NV 2596-R) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60442656) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2020-02-01 |