| NPI | 1609328731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CL60528100) |
| Additional Taxonomies | 246ZE0500X Specialist/Technologist, Other, EEG |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2019-12-18 |