| NPI | 1033202676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 69753) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00050441) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60064961) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-11-13 |