| NPI | 1609408285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61223190) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2026-04-12 |