| NPI | 1891853404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60604135) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA RC00056436) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2015-11-13 |