| NPI | 1295087070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA SWI. LW.60468289) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID LCSW-32469) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2014-10-10 |