| NPI | 1316368053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60589918) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC 60406830) |
| Enumeration Date | 2013-12-24 |
| Last Update Date | 2016-09-12 |