| NPI | 1083753347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60334295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00045089) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2013-01-28 |