| NPI | 1922128206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60771233) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: WA MC60650973) | |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60737001) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60771233) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2022-11-07 |