| NPI | 1538194915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00003393) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA psy00003393) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2021-08-02 |