| NPI | 1770834418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG 60317009) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2015-01-27 |