| NPI | 1518245679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00003086) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: WA PY0003086) |
| Enumeration Date | 2011-07-22 |
| Last Update Date | 2018-11-09 |