| NPI | 1861402299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 15019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60103655) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-11-17 |