| NPI | 1487118055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61084303) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60895654) |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2023-01-19 |