| NPI | 1790278711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA LH61127516) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60859158) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61127516) | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2023-10-21 |