| NPI | 1982029872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WA LH60965989) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60965989) |
| 101YP2500X Counselor, Professional (Licence: CO LPC0017286) | |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2023-04-06 |