| NPI | 1740541945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY60967801) |
| Additional Taxonomies | 103TH0004X Psychologist Health (Licence: HI 1305) |
| 103TH0004X Psychologist Health (Licence: WA PY60967801) | |
| 103TC0700X Psychologist Clinical (Licence: HI 1305) | |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2024-09-24 |