| NPI | 1609132141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY 3721) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 10631) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |