| NPI | 1689123150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61551114) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY36283) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2026-04-05 |