| NPI | 1811081318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001843) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TN P000899) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |