| NPI | 1033802988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61444441) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 3217) |
| 103T00000X Psychologist (Licence: NY 024789) | |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-06-04 |