| NPI | 1093264632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61116188) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60831521) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60831521) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-09-26 |