| NPI | 1912392309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY60724887) |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2017-04-21 |