| NPI | 1417582354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 400) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NV PY0369) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2021-03-03 |