| NPI | 1538253653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60074799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00051114) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2009-10-01 |