| NPI | 1407331028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61125304) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA mc60691334) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2022-10-19 |