| NPI | 1881187607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: ID PSY-203861) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC60837087) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-11-15 |