| NPI | 1487034138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY61035299) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: GA PSY003910) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2020-04-27 |