| NPI | 1922773795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TH0004X Psychologist Health (Licence: WA PY61173617) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WA PY61173617) |
| 103TC0700X Psychologist Clinical (Licence: WA PY61173617) | |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |