| NPI | 1235658634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60607077) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60281152) |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2017-09-17 |