| NPI | 1639579154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60344737) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6618) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2025-05-14 |