| NPI | 1184391708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61237218) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61075192) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-01-07 |