| NPI | 1699780486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 60121906) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 20769) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2013-04-29 |