| NPI | 1023544905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61110308) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AK 848) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-09-24 |