| NPI | 1407182561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60253762) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC0051516) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2022-07-21 |