| NPI | 1639359425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 60137625) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA RC00057856) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-11-26 |