| NPI | 1558708008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2291) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PSYC.PY.61261719) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2026-01-08 |