| NPI | 1366619355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60178887) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY16631) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2022-04-27 |