| NPI | 1073868022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61074608) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 12728) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2025-07-16 |