| NPI | 1831251289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60517941) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00035217) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2021-04-26 |