| NPI | 1851657837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA AF60133217) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA HP60154364) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |