| NPI | 1417326125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60512444) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60512444) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2021-01-22 |