| NPI | 1962973321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61390419) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY30460) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2024-08-17 |