| NPI | 1568006922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH-61137456) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ID LPC-7428) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-10-05 |