| NPI | 1053732073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60491433) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60164861) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2014-09-12 |