| NPI | 1245559129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C3391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60399324) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2021-12-23 |