NPI | 1235720186 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61122911) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO PSY.0005840) |
103TC1900X Psychologist, Counseling | |
103TC1900X Psychologist, Counseling (Licence: WA PSYC.PY.61173222) | |
Enumeration Date | 2021-02-02 |
Last Update Date | 2023-03-02 |