NPI | 1306075940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60195906) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW60059975) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2012-04-11 |