| NPI | 1497146443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: WA LF60279910) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LF60279910) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2022-10-19 |