| NPI | 1275922262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60438488) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: WA PY60438488) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60438488) | |
| 103TF0000X Psychologist, Family (Licence: WA PY60438488) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: WA PY60438488) | |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |