| NPI | 1235254251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011282) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00038923) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-02-24 |