NPI | 1013211648 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002717) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00002717) |
103TC1900X Psychologist, Counseling (Licence: WA PY00002717) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY00002717) | |
Enumeration Date | 2010-12-21 |
Last Update Date | 2022-11-30 |