| NPI | 1811409592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AK 139675) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60768994) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-09-18 |