| NPI | 1649354853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI 36) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006237) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-01-05 |