| NPI | 1477067833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60972364) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60815781) |
| 101YM0800X Counselor Mental Health (Licence: WA MC60815781) | |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2019-07-31 |