| NPI | 1104078146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60312188) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2020-10-20 |