| NPI | 1497342125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61452770) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC.60992730) |
| Enumeration Date | 2020-12-29 |
| Last Update Date | 2023-08-29 |