| NPI | 1255011771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61591675) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2025-05-12 |