| NPI | 1831685528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AK 150941) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist (Licence: WA PY61279129) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2023-04-26 |