| NPI | 1841620150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60491559) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60314586) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2014-08-28 |