| NPI | 1972815215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60161771) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 060222650) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2017-04-27 |