| NPI | 1881764355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA 61442566) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS LP1011) |
| 103T00000X Psychologist (Licence: KS LP1011) | |
| 103T00000X Psychologist (Licence: WA 61442566) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2024-01-20 |