| NPI | 1194355149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY.61029319) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 022053) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |