| NPI | 1982759643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60844330) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NE LIMHP1019) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2018-12-10 |