| NPI | 1669650214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60325250) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00056911) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2013-01-17 |