| NPI | 1861450421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00003928) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NE 323) |
| 103T00000X Psychologist (Licence: NY 015114) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2009-01-16 |