| NPI | 1366075376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61378092) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0019382) |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2023-10-26 |