| NPI | 1346694890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60959415) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2023-06-23 |