| NPI | 1053094813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61508040) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA 61449877) |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2024-07-31 |