| NPI | 1609929603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 1728) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 24415) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2011-01-16 |