| NPI | 1730726423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61219466) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61007459) |
| 101YM0800X Counselor Mental Health (Licence: WA MC61007459) | |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2023-06-30 |