| NPI | 1578013710 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60953713)  | 
| Enumeration Date | 2016-10-12 | 
| Last Update Date | 2024-04-16 |