| NPI | 1780110528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA H60760099) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60601856) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |