| NPI | 1245377860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3436) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60259864) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2014-09-08 |