| NPI | 1780957258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60486894) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60252572) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2015-03-17 |