| NPI | 1558417816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60156867) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 020701RC00018778) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-04-20 |