| 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 |