| NPI | 1295068179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 4050) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60181879) |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2018-03-17 |