| NPI | 1720322746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60319722) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH 1170) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2015-06-22 |