| NPI | 1033895768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY70008197) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY70008197) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-09-17 |