| NPI | 1144649294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC 60738278) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60959223) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2019-06-18 |