| NPI | 1053510560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61464762) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61258974) |
| 174400000X Specialist (Licence: WA MA00022726) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2024-08-14 |