| NPI | 1205088689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY00002708) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: WA CP00000182) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2018-03-17 |