| NPI | 1952772790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61005472) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60583875) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2023-03-03 |