| NPI | 1871007021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WA LH61304710) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA MC60516822) |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2025-08-19 |