| NPI | 1003231218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60796679) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH13340) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2017-12-08 |