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 |