| NPI | 1114264892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60677241) |
| 101YM0800X Counselor, Mental Health (Licence: WA FC60652989) | |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2024-01-10 |