| NPI | 1821292111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60524587) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY29406) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2025-07-17 |