| NPI | 1902490204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: WA 300839H) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: WA 3008339H) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2023-12-07 |