| NPI | 1053581066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA lh60146921) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00040097) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-06-25 |