| NPI | 1750689519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60130522) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA NA00115191) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |