| NPI | 1851543300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: OH 6573) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: TX 34715) |
| 103TH0004X Psychologist, Health (Licence: WA PY60406906) | |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2015-07-24 |