| NPI | 1043558307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY6245063) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60245063) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2023-03-06 |