| NPI | 1841611001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60431300) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG 60423055) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2014-02-11 |