| NPI | 1891254058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60968000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MHCA.MC.60930549) |
| 103TC1900X Psychologist, Counseling (Licence: WA PY60968000) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-02-08 |