| NPI | 1801324322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OH P08246) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60902387) |
| Enumeration Date | 2017-05-29 |
| Last Update Date | 2022-03-01 |