| NPI | 1558913608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: WA 60984158) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA 60961332) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-06-08 |