| NPI | 1558650499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60421721) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60146059) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-04-25 |