| NPI | 1992258941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60723665) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA MC60668992) |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2018-09-29 |