| NPI | 1558548123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61160459) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24365) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2021-11-06 |