| NPI | 1659076628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ND 1025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61398071) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2026-06-15 |