| NPI | 1780889147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00001942) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY10438) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2009-09-08 |