| NPI | 1639475502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH603225559) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2013-01-30 |