| NPI | 1922112937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PS00002393) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: ID PSY203189) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-05-22 |