| NPI | 1174287742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60792085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5030) |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2021-10-28 |