| NPI | 1790080828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA CG60194038) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60194038) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2016-03-29 |