| NPI | 1972657542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00005108) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH00005108) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2013-03-20 |