NPI | 1730602657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY.60758021) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC0700X Psychologist, Clinical (Licence: WA PY.60758021) | |
103TC1900X Psychologist, Counseling (Licence: WA PY.60758021) | |
Enumeration Date | 2017-07-23 |
Last Update Date | 2025-03-22 |