| NPI | 1346475381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WA PY00003084) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY00003084) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA PY00003084) | |
| 103TH0004X Psychologist Health (Licence: WA PY00003084) | |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2009-05-20 |