| NPI | 1376773747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60113022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00018634) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-11-16 |