| NPI | 1013424407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY60236263) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60236263) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60236263) | |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2018-01-07 |