| NPI | 1922280049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61235431) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA MC60904179) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2023-11-02 |