| NPI | 1073906699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61358035) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 10-3K00000X) |
| 103T00000X Psychologist | |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2023-06-30 |