| NPI | 1184859076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61095421) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFC46039) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2023-10-18 |