| NPI | 1194463364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61460499) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61310577) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2023-10-26 |