| NPI | 1740637412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC 60504889) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WA AF 60593274) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |