| NPI | 1669552014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY2476) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ 3126) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-08-25 |