| NPI | 1891096384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60203273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 0840) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2011-06-10 |