| NPI | 1578874772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60551573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60146056) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-04-12 |