| NPI | 1558414342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60273031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA RC00028564) |
| 101Y00000X Counselor (Licence: WA LH60273031) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-03-14 |