| NPI | 1609283753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60950524) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60496973) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2020-04-15 |