| NPI | 1790268712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PSYC.PY.70069155) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.61556115) |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2026-08-12 |