| NPI | 1174953756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60439818) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60352686) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2014-11-05 |