| 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 |