| NPI | 1881024651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60437155) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NC 4475) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2022-07-21 |