| NPI | 1871957266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LF 60135147) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC 49382) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-13 |