| NPI | 1861627168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C1729) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH00007174) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2009-05-16 |