| NPI | 1679042162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60930856) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60832626) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61147645) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2021-06-22 |