| NPI | 1568796993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5345) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY 60614493) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN 5345) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY 60674493) | |
| 103TH0100X Psychologist, Health Service (Licence: WA PY60614493) | |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2022-11-14 |