| NPI | 1144510942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60212285) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY60212285) |
| 103T00000X Psychologist (Licence: WA PY60212285) | |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2016-12-03 |