| NPI | 1235481169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60713477) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60293014) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2018-11-26 |