| NPI | 1891115440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61222117) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY30583) |
| 103T00000X Psychologist (Licence: OR 3407) | |
| 251S00000X | |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2021-12-28 |