| NPI | 1962655050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60184919) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA FC 60206027) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-12-11 |