| NPI | 1720523616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60886956) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60715464) |
| Enumeration Date | 2016-12-30 |
| Last Update Date | 2023-05-25 |