| NPI | 1881823078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60017481) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPC 407) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2017-01-08 |