| NPI | 1427271394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00004345) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: WA 283445E) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |