NPI | 1154689800 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60261178) |
Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY60261178) |
Enumeration Date | 2012-05-01 |
Last Update Date | 2022-04-21 |