| NPI | 1861769473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2697) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60224180) |
| Enumeration Date | 2011-11-27 |
| Last Update Date | 2011-11-27 |