| NPI | 1700176948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 38265) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60491478) |
| 103TC0700X Psychologist, Clinical (Licence: ID PSY203037) | |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2022-12-20 |