NPI | 1205003530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60131178) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00057344) |
Enumeration Date | 2008-05-15 |
Last Update Date | 2010-02-17 |