| NPI | 1295116291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY.60922843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60568529) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2023-10-20 |