| NPI | 1629251723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60161094) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00048627) |
| 101YM0800X Counselor, Mental Health (Licence: NC 12920S) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2022-11-15 |