| NPI | 1124418520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60982449) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60489971) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2022-09-15 |