| NPI | 1386955896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05025) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 60146992) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-04-18 |