| NPI | 1972745339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2164) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008898) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2020-04-08 |