| NPI | 1427302496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH00005945) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: WA 152573B) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |