| NPI | 1639504228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60461357) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60551019) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2025-11-28 |