| NPI | 1851910558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WA PY61163935) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: WA PY61163935) |
| 103TH0100X Psychologist Health Service (Licence: WA PY61163935) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: WA PY61163935) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2023-06-01 |