| NPI | 1255466470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60816013) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60816013) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-11-08 |