| NPI | 1568685428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00008035) |
| 101YS0200X Counselor, School (Licence: WA 345763G) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY0003835) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00003835) | |
| 103TS0200X Psychologist, School (Licence: WA 345763G) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-10-03 |