| NPI | 1902140494 |
|---|---|
| Former Name | EMILY FAY KASTELIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: WA PY60193547) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY 60193547) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2024-04-18 |