| NPI | 1114495298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61032475) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60887461) |
| 101YM0800X Counselor Mental Health (Licence: WA MC60887461) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-05-24 |