| NPI | 1194820092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00003439) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA LH00003439) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2024-03-12 |