| NPI | 1396046934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60194320) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60145794) |
| Enumeration Date | 2010-11-13 |
| Last Update Date | 2018-10-09 |