| NPI | 1043629306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61174719) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60907139) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-06-09 |