| NPI | 1417167727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61265877) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61222331) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-11-16 |