| NPI | 1598829913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 6747) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C1362) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-09 |