| NPI | 1386863298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA 61499091) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 33566) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2024-07-02 |