| NPI | 1477823201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 102L00000X Psychoanalyst (Licence: WA LH 60459683) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC 60164019) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2015-11-17 |