| NPI | 1760141196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61277043) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: AZ PSY-005698) |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2024-01-15 |