| NPI | 1649529496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60749863) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60749863) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-08-02 |