| NPI | 1871815985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60144200) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC 60130027) |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2012-03-05 |