| NPI | 1427933464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 000000) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: WA 000000) |
| Enumeration Date | 2025-08-08 |
| Last Update Date | 2025-08-08 |