| NPI | 1942601406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY 00002598) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY 00002598) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY 00002598) | |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2023-04-04 |