| NPI | 1770697047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: AR 1955-C) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LW00008101) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2023-09-07 |