| NPI | 1720592389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60477313) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY24753) |
| Enumeration Date | 2017-11-18 |
| Last Update Date | 2023-10-20 |