| NPI | 1316258916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60779290) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 4244) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2025-08-07 |