| NPI | 1437263514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001325) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 0996) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-06-18 |