| NPI | 1518258615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60115744) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: WA PY60115744) |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: WA PY60115744) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60115744) | |
| 103TF0000X Psychologist, Family (Licence: WA PY60115744) | |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2022-07-21 |