| NPI | 1508427238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 61409683) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WA 61409683) | |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2023-05-04 |