| NPI | 1154719862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60597177) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG 60455017) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-10-27 |