| NPI | 1831358621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60304974) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RC00059012) |
| 101YP2500X Counselor, Professional (Licence: WA RC00059012) | |
| 101Y00000X Counselor (Licence: WA LH60304974) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2013-03-19 |