| NPI | 1982718649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA CL60159121) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60144603) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-12-13 |