| NPI | 1407055619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003681) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH00009339) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY00003681) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY00003681) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: WA PY00003681) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |