| NPI | 1023805306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61665779) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61665779) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-08-11 |