| NPI | 1750597282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60026311) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002081) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-02-27 |