| NPI | 1659524254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60022770) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2154) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |