| NPI | 1407120959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 60115237) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY 60115237) |
| 103TF0200X Psychologist, Forensic (Licence: WA PY 60115237) | |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |