| NPI | 1831633684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CL 60173225) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |