| NPI | 1780228007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61114401) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 0005176) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2021-03-04 |