NPI | 1598348203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61496349) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61159152) |
101Y00000X Counselor (Licence: WA MC61159152) | |
103T00000X Psychologist | |
Enumeration Date | 2021-04-30 |
Last Update Date | 2024-08-01 |