| NPI | 1578500328 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: WA 2517)  | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00002517)  | 
| Enumeration Date | 2006-06-01 | 
| Last Update Date | 2024-06-10 |