| NPI | 1821518754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61176883) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA 60757344) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-09-14 |