NPI | 1649516642 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY 00003817) |
Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: WA PY 00003817) |
Enumeration Date | 2012-12-19 |
Last Update Date | 2012-12-19 |