| NPI | 1679874770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60146914) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA 60480840) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60146914) | |
| Enumeration Date | 2010-11-06 |
| Last Update Date | 2019-11-22 |