| NPI | 1265632426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 00011102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL 3336) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2015-05-03 |