| NPI | 1548691694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60964419) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: WA PY60964419) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2023-12-12 |