| NPI | 1205120342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: WA OP60846070) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: WA OP60846070) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-03-11 |