| NPI | 1043464795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60306133) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00045686) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2022-05-03 |