| NPI | 1588899934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60163080) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60163080) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2025-12-19 |