| NPI | 1114447885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG60150465) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 100188) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |