| NPI | 1285025338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60409618) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA PY60409618) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2016-12-19 |