| NPI | 1366972069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60190853) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2019-01-25 |