| NPI | 1487955993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60282560) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60107190) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2012-10-12 |