| NPI | 1770688699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA 1519) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA 1519) |
| 103TF0000X Psychologist Family (Licence: WA 1519) | |
| 103TH0100X Psychologist Health Service (Licence: WA 1519) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WA 1519) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-02-23 |