| NPI | 1164970455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60864160) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MO 2016031755) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2023-11-27 |