| NPI | 1003970047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00003564) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA LH00003564) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |