| NPI | 1336495233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60534861) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA LH 60534861) |
| Enumeration Date | 2012-07-28 |
| Last Update Date | 2025-09-08 |