| NPI | 1598247256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH60596034) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60596034) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |