| NPI | 1598323123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 60940981) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WA 60940981) |
| 103TC1900X Psychologist Counseling (Licence: WA 60940981) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WA 60940981) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-02-14 |