| NPI | 1538505912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA lmhc) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C3180) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2014-08-25 |