| NPI | 1447481320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60818744) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical (Licence: WA PY60818711) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-05-14 |