| NPI | 1992252175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MA 11511) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY.61263162) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2025-01-04 |