| NPI | 1164590675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA TE00003919) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1373) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-03-07 |