| NPI | 1295287670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60878464) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60653711) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2018-12-10 |