| NPI | 1780043729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61069216) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60588949) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2022-04-05 |