| NPI | 1528334307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0006578) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 60242543) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2025-08-21 |