| NPI | 1477880201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PSYC.PY.60730559) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004291) |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2017-04-10 |