| NPI | 1942431937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA LH00004274) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH00004274) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH00004274) | |
| 101YP2500X Counselor, Professional (Licence: WA LH00004274) | |
| 102L00000X Psychoanalyst (Licence: WA LH00004274) | |
| 103K00000X Behavior Analyst (Licence: WA LH00004274) | |
| 103TC1900X Psychologist, Counseling (Licence: WA LH00004272) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: WA LH00004274) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: WA LH00004272) | |
| 133N00000X Nutritionist (Licence: WA NU00000460) | |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |