| NPI | 1023391521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60667085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60667085) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-02-03 |