| NPI | 1871965889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60730109) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60451983) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2018-03-17 |