| NPI | 1043220452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60125447) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1220) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2014-08-22 |