| NPI | 1164193165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61619977) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY36611) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2026-04-16 |