| NPI | 1922665751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61311615) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60872013) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2023-01-16 |