| NPI | 1104230234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60476549) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-09-26 |