| NPI | 1891905303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61346138) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006770) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2023-07-09 |