| NPI | 1043775737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY60894649) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2022-10-26 |