| NPI | 1699049379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60303619) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60239424) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60239424) | |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2013-09-23 |