| NPI | 1972738896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 4501) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60147005) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2019-02-09 |