| NPI | 1316044787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60134872) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MT 1259) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-01-10 |