| NPI | 1285068445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60416426) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60406381) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60406381) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2015-01-12 |