| NPI | 1205296050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60787527) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2024-06-18 |