| NPI | 1447840301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3620) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61053793) |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2024-10-29 |