| NPI | 1366916017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60720044) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60720044) |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional (Licence: WA LH60720044) | |
| 106H00000X Marriage & Family Therapist (Licence: LH60720044) | |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |