| NPI | 1407101272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 38958) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60252235) |
| 103T00000X Psychologist (Licence: WA PY60311615) | |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2024-03-14 |