| NPI | 1033318134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PSY60107671) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002548) |
| 106H00000X Marriage & Family Therapist (Licence: CA MFC42554) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2024-03-21 |