NPI | 1497988307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY 00002530) |
Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00002530) |
103TA0700X Psychologist, Adult Development & Aging (Licence: WA PY 00002530) | |
103TC0700X Psychologist, Clinical (Licence: WA PY 00002530) | |
103TF0000X Psychologist, Family (Licence: WA PY 00002530) | |
103TP2701X Psychologist, Group Psychotherapy (Licence: WA PY 00002530) | |
Enumeration Date | 2009-08-26 |
Last Update Date | 2009-08-26 |