| NPI | 1376646299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003512) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 00003512) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2025-06-30 |