| NPI | 1306811534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003942) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048-0000851) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-09-16 |