| NPI | 1487999553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL 13736) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60805973) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2018-08-02 |