| NPI | 1437335114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60306239) |
| Enumeration Date | 2008-01-13 |
| Last Update Date | 2013-10-14 |