| NPI | 1861676447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY00002371) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: WA PY00002371) |
| 103TC0700X Psychologist, Clinical (Licence: WA 00002371) | |
| 103TF0000X Psychologist, Family (Licence: WA PY00002371) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: WA PY00002371) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: WA PY00002371) | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2019-02-21 |