| NPI | 1821570573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY.60911217) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60636204) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-08-24 |