| NPI | 1417057100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010789) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00046731) |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2010-02-03 |