NPI | 1073534079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001859) |
Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: WA PY00001859) |
103T00000X Psychologist (Licence: WA PY00001859) | |
Enumeration Date | 2006-07-22 |
Last Update Date | 2007-07-08 |