| NPI | 1285211235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61374945) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101Y00000X Counselor (Licence: WA MC61159521) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-11-09 |