| NPI | 1477113132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WA 60969908) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810006019) |
| 103TC1900X Psychologist Counseling (Licence: VA 0810006019) | |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2025-03-04 |