| NPI | 1881922995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 7541) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00011168) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2012-03-22 |