| NPI | 1659918027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.60914693) |
| Additional Taxonomies | 221700000X Art Therapist (Licence: WA 19-458) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |