| NPI | 1164744462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60152268) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2449) |
| Enumeration Date | 2010-02-27 |
| Last Update Date | 2010-04-15 |