| NPI | 1801063490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60220280) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA RC00056210) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-04-07 |