| NPI | 1689611154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 2800) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61341034) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2026-07-30 |