| NPI | 1386048361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60704294) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60512436) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2018-03-17 |