| NPI | 1215226154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60063091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60195931) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2022-07-09 |