| NPI | 1609217066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61371136) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: MO 2008012822) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2023-11-28 |