| NPI | 1346465218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61123730) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 3273) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS019227) | |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY33850) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 015722) | |
| 103TC0700X Psychologist, Clinical (Licence: TX 34414) | |
| 103TC0700X Psychologist, Clinical (Licence: HI PSY19080) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-03-20 |