| NPI | 1881775666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00009328) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO CS001285) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |