| NPI | 1750667341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61488730) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7153) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2024-01-09 |