| NPI | 1598051583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60510418) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60190247) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2015-09-17 |