| NPI | 1619566601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61441930) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 61110375) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-08-18 |