| NPI | 1710562533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: WA PY61000110) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61000110) |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |