| NPI | 1972574671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY2922) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: WA PY2922) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-04-05 |