| NPI | 1215001961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60764530) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00053931) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-05-03 |