| NPI | 1689625444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00006910) |
| 101YM0800X Counselor, Mental Health (Licence: OR C1643) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-01-20 |