| NPI | 1225561517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60893645) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60656750) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2022-10-03 |