| NPI | 1265486880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD00041397) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA MD00041397) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-17 |