| NPI | 1881083491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60432642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C7056) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2022-11-03 |