| NPI | 1649424003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2544) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60795371) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2020-04-13 |