| NPI | 1841435716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60026306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008917) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2017-04-13 |