| NPI | 1548420078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH60483167) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2017-10-06 |