| NPI | 1336695873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY60687994) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60687994) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2021-05-05 |