| NPI | 1588075188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60723602) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA CG60474940) |
| Enumeration Date | 2014-05-16 |
| Last Update Date | 2020-04-29 |