| NPI | 1992961353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 338798) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00003664) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2022-04-08 |