| NPI | 1831158732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MT 375) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00001634) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-01-04 |