| NPI | 1780729574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 708) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00005362) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2011-07-19 |