| NPI | 1063017895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3676) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY.61507417) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2026-05-13 |