| NPI | 1063469203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: ID PSY202196) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY1696) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2024-05-20 |