| NPI | 1467079525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61265998) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61254557) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2024-11-05 |