| NPI | 1477535789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA 60317237) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60317237) |
| 103TC0700X Psychologist, Clinical (Licence: CA 19644) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2018-07-22 |