| NPI | 1851586531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00010332) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |