| NPI | 1740245851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: WA LH00008424) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH000008424) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-10-02 |