NPI | 1295874543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60161846) |
Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2272) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2018-09-10 |