| NPI | 1508234550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60983270) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-34901) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-03-29 |