| NPI | 1316010515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60063023) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MI 6301013398) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2022-11-01 |