| NPI | 1528250420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH90066617) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00050665) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2010-04-28 |