| NPI | 1083795520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6801066023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW00006285) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |