| NPI | 1942502778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60197433) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60160503) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2021-04-22 |