| NPI | 1558599274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60188217) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60090936) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2016-03-29 |