| NPI | 1285465096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA MC70007397) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA 94028413) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2025-06-27 |