| NPI | 1164532321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60210898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00033599) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-01-10 |