| NPI | 1184975260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2917) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA MC60184343) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2018-05-23 |