| NPI | 1952696767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60233681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60232709) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2020-04-02 |