| NPI | 1174998678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60754240) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60553211) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2020-01-14 |