| NPI | 1215364237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60400350) |
| Additional Taxonomies | 251S00000X (Licence: WA CG60210325) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2014-02-04 |