| NPI | 1285790485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA RC00027519) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00007864) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2009-07-14 |