| NPI | 1700256278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA LPC009893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61339763) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2022-12-10 |