| NPI | 1295972057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist Rehabilitation (Licence: WA PY00003761) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY00003761) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-03-30 |