| NPI | 1831270040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1322) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY.60069310) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-06-28 |