NPI | 1639173479 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002917) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY2917) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2019-11-27 |