| NPI | 1912361114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61144763) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA CG60650881) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-06-04 |