| NPI | 1982065611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60711398) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY27734) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2018-08-27 |