NPI | 1750597282 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60026311) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA LF00002081) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2009-02-27 |