| NPI | 1568601466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9161) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: WA PY00003775) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2014-10-09 |