| NPI | 1871681981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60234792) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MO 20050389109) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2013-12-17 |