| NPI | 1134677933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY60261177) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: WA LL60261177) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |