| NPI | 1235515198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00010678) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR C2829) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-01-03 |