| NPI | 1366462418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61247572) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 1142) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-04-20 |