| NPI | 1467899195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60916160) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3115) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60916160) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY9331) | |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2023-07-06 |