| NPI | 1407381882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61251520) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61175782) |
| 103TC0700X Psychologist Clinical (Licence: OR 3572) | |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2024-09-04 |