| NPI | 1528371416 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60159659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60159659) |
| Enumeration Date | 2010-07-20 |
| Last Update Date | 2012-09-12 |