| NPI | 1578929352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2687) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60483710) |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2023-10-27 |