| NPI | 1215241781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60590312) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AL 1612) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2019-10-22 |