| NPI | 1841278280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61190659) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 2817) |
| 103T00000X Psychologist (Licence: AK 580) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2023-01-26 |