| NPI | 1124485081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61452052) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61192970) |
| Enumeration Date | 2016-01-24 |
| Last Update Date | 2023-06-18 |