| NPI | 1053723957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA sc60436579) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60330894) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |