| NPI | 1578886644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: WA PY 60031165) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY 003290) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60031165) | |
| 103TF0200X Psychologist, Forensic (Licence: GA PSY003290) | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2016-03-04 |