| NPI | 1578363248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: WA 61569961) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61672149) |
| Enumeration Date | 2025-03-13 |
| Last Update Date | 2025-03-13 |