| NPI | 1083943187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60160352) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00039939) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2016-03-29 |