| NPI | 1679066831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61106182) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA MC60847891) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-02-26 |