| NPI | 1992417463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 3639) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61066874) |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2024-04-09 |