NPI | 1518014703 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60453011) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-01-03 |
Last Update Date | 2014-06-03 |