| NPI | 1497301071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61429351) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60947948) |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2023-05-09 |