| NPI | 1740591486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY61046646) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY61046646) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60146646) | |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2016-02-24 |