| NPI | 1811295553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60320674) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH 60320674) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2020-03-17 |