| NPI | 1982901468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60288344) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CL60186116) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2012-06-26 |