| NPI | 1962670901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG60131249) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PSYA.PG.70122975) |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2026-08-19 |