| NPI | 1457656431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60483238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60153235) |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2015-06-29 |