| NPI | 1760471296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY00002477) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: WA PY00002477) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2021-06-22 |