| NPI | 1992397699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH61432575) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2024-07-02 |