NPI | 1346553070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60410848) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009170) |
Enumeration Date | 2010-07-22 |
Last Update Date | 2022-05-27 |