| NPI | 1225141914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60036513) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY KY-1429) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY 21928) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-11-13 |