| NPI | 1699068189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: WA 00002730) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA 00002730) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2020-08-06 |