| NPI | 1952474827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LW60104168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR l2490) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2021-11-16 |