| NPI | 1902578628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61631633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR R252) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-03-25 |