| NPI | 1003046475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA RC00046805) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2158) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |