| NPI | 1720163389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002449) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY2449) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2014-04-29 |