| NPI | 1255074290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61419603) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61272317) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2024-08-14 |