| 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 |