| NPI | 1255970554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61223981) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC61031018) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2025-03-06 |