| NPI | 1619335569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60977237) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC 60582303) |
| Enumeration Date | 2016-02-07 |
| Last Update Date | 2022-04-21 |