| NPI | 1487998852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 60460749) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0003853) |
| Enumeration Date | 2012-11-24 |
| Last Update Date | 2019-10-07 |