| NPI | 1043669096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60605156) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2022-08-09 |