| NPI | 1982737532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 631) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY00003429) |
| 103T00000X Psychologist (Licence: HI PSY936) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |