| NPI | 1699840462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003657) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 17892) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-10-23 |