| NPI | 1245086529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61530764) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA CG61504311) |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-12-12 |