| NPI | 1497099048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60305445) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH60239364) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2015-10-27 |