| NPI | 1245580612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ PSY-005601) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60284262) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-11-19 |