| NPI | 1144982083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NC 6691) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61658585) |
| 103TH0100X Psychologist, Health Service (Licence: NC 6691) | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2026-01-30 |