| NPI | 1851409767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA 1851409767) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 923) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2016-11-02 |