| NPI | 1255601399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WA PY60126753) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 60126753) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2022-11-08 |