NPI | 1275557621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY00002269) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00002269) |
103TH0100X Psychologist, Health Service (Licence: WA PY00002269) | |
103T00000X Psychologist (Licence: WA PY00002269) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2007-07-08 |