| NPI | 1225170616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH00005778) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA LH00005778) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-03-02 |