| NPI | 1295030328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60339398) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CA PSY23824) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2018-04-13 |