| NPI | 1164606612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60166104) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00052774) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2021-09-03 |