| NPI | 1891384681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 61029049) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NC 6003) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-11-03 |