| NPI | 1679895379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY6021588) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OR C2408) |
| 103TS0200X Psychologist School (Licence: WA 272886C) | |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2023-10-24 |