| NPI | 1801197843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60455158) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8410) |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2018-12-20 |