| NPI | 1841483286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60563485) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: WA PY60563485) |
| 103TC1900X Psychologist Counseling (Licence: NC 102699) | |
| 103TH0100X Psychologist Health Service (Licence: SC 1070) | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2019-03-13 |