| NPI | 1760930879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4079) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 0001067) |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-09-17 |