| NPI | 1215280656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60694002) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20042914A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001846A) | |
| 163WD0400X Registered Nurse, Diabetes Educator (Licence: WA PY60694002) | |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2019-11-12 |