| NPI | 1437536364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC60503251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60877092) |
| 101YM0800X Counselor, Mental Health (Licence: ID LPC-5761) | |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-04-07 |