| NPI | 1427545631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY61075519) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61075519) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-10-22 |