| NPI | 1871234807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61496155) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61299497) |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2026-04-02 |