| NPI | 1376721910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60191797) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH 60191797) |
| 101YP2500X Counselor Professional (Licence: WA LH60191797) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2018-03-17 |