| NPI | 1972143501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60592743) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: WA 455910J) |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |