| NPI | 1811471915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60856805) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 63970) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |