| NPI | 1407241409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60674062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60562634) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2023-02-21 |