| NPI | 1396212544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61109476) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60899386) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2021-01-10 |