| NPI | 1720377088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60171272) |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |