| NPI | 1952435190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60637336) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60144021) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-03-10 |