| NPI | 1710316286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61571336) |
| 124Q00000X Dental Hygienist (Licence: WA DH00006279) | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2025-01-27 |