| NPI | 1821231770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60018016) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7444) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2023-08-09 |