| NPI | 1154683233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60643143) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C4484) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-08-31 |