| NPI | 1649529561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60529425) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60529425) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2019-10-01 |