| NPI | 1790223071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60563319) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 344) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |