| NPI | 1366823981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60734026) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA CG 60568342) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2017-04-27 |