| NPI | 1386865053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010839) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00045678) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-12-01 |