| NPI | 1770848079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60839781) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2022-10-05 |