| NPI | 1053501197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA RC58303) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60637457) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2017-03-08 |