NPI | 1326341595 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61139532) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61139532) |
Enumeration Date | 2010-12-09 |
Last Update Date | 2023-03-02 |