| NPI | 1952584039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60895802) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2024-04-04 |