| NPI | 1467527341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002916) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00001471) |
| Enumeration Date | 2006-11-23 |
| Last Update Date | 2009-05-02 |