| NPI | 1194959924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NC 4843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00059029) |
| Enumeration Date | 2009-05-07 |
| Last Update Date | 2019-04-08 |