| NPI | 1588058754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC 60542916) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA MC 60542916) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |