| NPI | 1104296250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60823455) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2018-05-22 |