| NPI | 1891087003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60481249) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60551097) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2016-01-26 |