NPI | 1831226018 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61267885) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY271785) |
Enumeration Date | 2007-02-27 |
Last Update Date | 2025-06-25 |