| NPI | 1952473100 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA LH00008891) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008891) | 
| Enumeration Date | 2006-11-14 | 
| Last Update Date | 2025-09-11 |