| NPI | 1255851366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC60586531) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60791575) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2022-10-31 |