| NPI | 1275966293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA AF60251611) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60249739) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |