| NPI | 1871005108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC60789946) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MG60789946) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2024-02-14 |