| NPI | 1992043673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60284949) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R2352) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |