| NPI | 1528419785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 61277804) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004884) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-12-18 |