| NPI | 1013251966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60511908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60298264) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2019-12-28 |