| NPI | 1982809448 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00010825)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 00010825)  | 
| Enumeration Date | 2007-06-15 | 
| Last Update Date | 2012-09-18 |