| NPI | 1063821437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60655059) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60390568) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2022-10-05 |