| NPI | 1104110147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60309126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60126092) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2017-05-08 |