| NPI | 1174148878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA MC61062196) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2023-05-20 |