| NPI | 1942267562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60221529) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY18731) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2012-10-18 |