| NPI | 1306042643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00005608) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2021-01-27 |