| NPI | 1760015234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: WA LH61167774) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-10-21 |