| NPI | 1154733541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60868909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60430476) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2022-08-27 |