| NPI | 1265831705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 2933) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60776565) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2019-04-01 |