| NPI | 1598349284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA 61135008) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810008173) |
| 103T00000X Psychologist (Licence: CA 33186) | |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2025-09-23 |