| NPI | 1427076892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00001501) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 1501) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-10-17 |