NPI | 1407189756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY 60130390) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA 60056916) |
103TC0700X Psychologist Clinical (Licence: HI PSY-1225) | |
Enumeration Date | 2009-09-17 |
Last Update Date | 2024-02-23 |