| NPI | 1780833004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60428357) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VT 048.0107097) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2021-05-17 |