| NPI | 1063995298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61030590) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60768480) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2022-06-28 |