| NPI | 1932469681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2414) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006284) |
| Enumeration Date | 2012-05-28 |
| Last Update Date | 2012-05-28 |