| NPI | 1326463712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA CG60441194) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW60713264) |
| 101YP2500X Counselor, Professional (Licence: OR L7100) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2022-06-16 |