| NPI | 1710279054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 268387) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: WA 47547913) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2015-11-17 |