| NPI | 1043458904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60759292) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY22441) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2018-05-01 |