| NPI | 1710163308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: HI MHC-899-0) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60257713) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2023-04-26 |