| NPI | 1396075495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60737927) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60688114) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2020-05-06 |