| NPI | 1467718890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60275594) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103T00000X Psychologist (Licence: ZZ 1361) | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |