| NPI | 1851579973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW 00009269) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009269) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2018-10-01 |