| NPI | 1972955037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 60826826) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60826826) |
| 101YM0800X Counselor Mental Health (Licence: WA 60766114) | |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-08-14 |