| NPI | 1700332004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60706474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60336437) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-11-16 |