| NPI | 1679883540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60301201) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60157107) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2022-10-27 |