| NPI | 1972939320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60956297) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG60407877) |
| 101YM0800X Counselor, Mental Health (Licence: WA CG60407877) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2023-09-19 |