| NPI | 1730602657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY.60758021) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY.60758021) |
| 103TC1900X Psychologist, Counseling (Licence: WA PY.60758021) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2022-11-18 |