| 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 |