| NPI | 1730415134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60106748) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00055438) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |