| NPI | 1134669278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61181396) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2022-02-16 |