| NPI | 1225117658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00005035) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WA LW00004591) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2007-07-08 |