| NPI | 1487003331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: LH61337830) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60639413) |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60682882) | |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2023-12-05 |