| NPI | 1114421393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PSYC.PY.61533154) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2025-08-18 |