| NPI | 1063690097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY00000752) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY00000752) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |