| NPI | 1992279210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60894063) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MC60894063) |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2020-03-16 |