| NPI | 1659890937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005831) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810005831) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60282161) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2022-09-23 |