| NPI | 1134465552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60561535) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60302183) |
| 101Y00000X Counselor (Licence: WA MC60302183) | |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2016-08-01 |