| NPI | 1619020047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WA PY60318110) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60083795) |
| 101YP2500X Counselor Professional (Licence: WA RC00054134) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2024-03-02 |