| NPI | 1881830545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60302393) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY 22355) |
| 103TC0700X Psychologist, Clinical (Licence: NY #019487) | |
| Enumeration Date | 2008-12-31 |
| Last Update Date | 2016-09-07 |