| NPI | 1457710089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60863847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C6441) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2023-04-27 |