| NPI | 1326772302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WI 5416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61328661) |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2026-06-19 |