| NPI | 1073026415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61025169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60770682) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-03-04 |