| NPI | 1467198697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61586474) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61279102) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY61586474) | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2025-03-19 |