| NPI | 1770647281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006029) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2009-03-10 |