| NPI | 1366067803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61031030) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH61031030) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2025-01-22 |