| NPI | 1952969602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60914759) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ID 9087) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-12-30 |