| NPI | 1922231935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60244031) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 5103) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2021-05-18 |