| NPI | 1376964742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60459215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60163648) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-04-10 |