| NPI | 1952564486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60143312) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00043820) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2010-04-28 |