NPI | 1831929132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61096543) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY61096543) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY61096543) | |
Enumeration Date | 2024-08-02 |
Last Update Date | 2024-08-02 |