| NPI | 1699301796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA 60637551) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60680962) |
| Enumeration Date | 2020-03-20 |
| Last Update Date | 2021-06-24 |