NPI | 1205973633 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 00002266) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY 00002266) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY 00002266) | |
103TC1900X Psychologist, Counseling (Licence: WA PY 00002266) | |
103TF0000X Psychologist, Family (Licence: WA PY 00002266) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2017-03-13 |