| NPI | 1013307123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26499) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PSY60478130) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2019-09-03 |