| NPI | 1477904126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NV PY0808) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60632945) |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-05-29 |