| NPI | 1932418183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: WA PY60440889) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8457) |
| 103TC0700X Psychologist, Clinical (Licence: WA PY60440889) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: WA PY60440889) | |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2024-03-02 |