| NPI | 1720431661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3638) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY61521422) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2025-02-22 |