| NPI | 1518322908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61501656) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MA 11456) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2024-02-08 |