| NPI | 1376636696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA WA LH00006146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR OR CO123) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2007-07-08 |