| NPI | 1770952699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist Forensic (Licence: WA PY61395594) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: WA PY61395594) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2023-09-18 |