| NPI | 1982976197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60446421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60270005) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2019-02-21 |