| NPI | 1053831560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60846659) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60501040) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-04-25 |