| NPI | 1821486382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60582911) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60494227) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2021-08-04 |