| NPI | 1518295922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60923103) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC60057235) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2021-10-13 |