| NPI | 1235798661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61184594) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MG60882357) |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2021-09-28 |