| NPI | 1356819452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61213025) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60791414) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60791414) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2022-04-01 |