| NPI | 1649508607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60608622) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2021-09-29 |