| NPI | 1831861079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY61114775) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA PY6114775) |
| 103TH0100X Psychologist, Health Service | |
| 103TH0100X Psychologist, Health Service (Licence: WA PY61114775) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-12-08 |