| NPI | 1184035883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NV PY0909) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60337693) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810005471) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2020-02-27 |