| NPI | 1962199356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61632645) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC61441267) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-10-29 |