| NPI | 1184298598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61261562) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: WA MC61153001) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2022-09-13 |