NPI | 1487063913 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY00005856) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60934631) |
Enumeration Date | 2014-08-08 |
Last Update Date | 2024-03-19 |