| NPI | 1972778967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WA PY60634517) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY 21087) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-04-21 |