| NPI | 1386808194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 60037300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY21221) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2009-11-02 |