| NPI | 1548314628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: WA 60192788) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 60192788) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-09-27 |