| NPI | 1962571372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00003897) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: UT 7798649-6004) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-12-03 |