| NPI | 1619294980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60812405) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60127688) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2021-02-26 |