| NPI | 1336201656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00011244) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00052817) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2009-01-15 |