| NPI | 1932589363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61026134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60541647) |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2024-04-05 |