| NPI | 1316061138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG601232921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00049156) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-03-17 |