NPI | 1043404064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY203058) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY 60217255) |
Enumeration Date | 2007-09-03 |
Last Update Date | 2024-07-30 |