| NPI | 1699950832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61298163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6220) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2023-08-23 |