| NPI | 1356966519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61664613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist (Licence: WA PY61664613) | |
| Enumeration Date | 2020-06-13 |
| Last Update Date | 2025-06-19 |