| NPI | 1649605833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3364) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA LH60866106) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60866106) | |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2021-05-19 |