| NPI | 1801218599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60799160) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2020-06-29 |