| NPI | 1023223419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00000756) |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral (Licence: WA PY00000756) |
| 103TC0700X Psychologist Clinical (Licence: WA PY00000756) | |
| 103TH0004X Psychologist Health (Licence: WA PY00000756) | |
| 103TH0100X Psychologist Health Service (Licence: WA PY00000756) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WA PY00000756) | |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-03-10 |