| NPI | 1912370032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C5190) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60613583) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2022-08-10 |