| NPI | 1154935773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61355139) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61084680) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2022-11-15 |