| NPI | 1841434123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00003946) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 3946) |
| 103T00000X Psychologist (Licence: TX 33826) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2012-11-13 |