| NPI | 1700294360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60579708) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OR 2640) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2015-11-13 |