| NPI | 1992226658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 8830) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH61115721) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2022-06-01 |