| NPI | 1972810703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MC61484257) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2024-01-04 |