| NPI | 1750773784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: UT 13213019-2504) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61686160) |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2025-11-20 |