| NPI | 1194237982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61191118) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29435) |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2021-10-18 |