| NPI | 1538299904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: RI PS01198) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60684527) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-09-02 |