| NPI | 1346635240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG 60545039) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-06-10 |