| NPI | 1811953755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010216) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4565) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-09-29 |