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 |