| NPI | 1306256821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60658359) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60434757) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-04-19 |