| NPI | 1942589296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60898484) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH9410) |
| 103TC0700X Psychologist, Clinical (Licence: PR 2192) | |
| 103TC0700X Psychologist, Clinical (Licence: NM 1342) | |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60898484) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2023-11-29 |