| NPI | 1750776241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60721390) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY60721390) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2021-11-01 |