| NPI | 1184199846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60898447) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-08-26 |