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 |