| NPI | 1457554453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60967843) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60485223) |
| 101YP2500X Counselor, Professional (Licence: WA RC00056978) | |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-12-29 |