| NPI | 1154905073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 61233152) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61080246) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2024-09-17 |