| NPI | 1588321889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61164497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC61164497) |
| Enumeration Date | 2021-11-21 |
| Last Update Date | 2021-11-21 |