NPI | 1124553508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61306567) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61306567) |
Enumeration Date | 2017-04-24 |
Last Update Date | 2024-01-19 |