| NPI | 1548363666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011242) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00044266) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2021-09-14 |