| NPI | 1417744699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60945949) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60945949) |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |