| NPI | 1316062896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 60074786) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA 2006153) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2012-01-17 |