| NPI | 1629129150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH 60040719) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00048297) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2022-07-21 |