| NPI | 1982746483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 020703LH00004322) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 020704LW00005140) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |