| NPI | 1598904229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002808) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00002808) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2010-05-07 |