| NPI | 1811054430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY 00003943) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810004040) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2010-03-01 |