| NPI | 1760680730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39085) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60748844) |
| 103TC0700X Psychologist, Clinical (Licence: CA PSY27860) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2024-06-06 |